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Maine rates for HCPCS L2186

Addition to lower extremity fracture orthosis, adjustable motion knee joint, Lerman type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.72 / $105.84 / $105.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.09 / $200.94 / $372.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.32 / $108.23 / $108.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.06 / $120.06 / $128.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.64 / $87.64 / $120.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.18 / $141.18 / $141.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $105.84 / $105.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $91.27 / $200.06